Now, he's touting ObamaCare, and shooting a GOP lawsuit against the health law with a gun in a new ad.

ADVERTISEMENT

"That's me shooting the cap and trade bill, because it was bad for West Virginia," Manchin says in the ad, showing the opening from the 2010 spot, where he rebelled against an environmental priority of Democratic leaders.

"Now the threat is Patrick Morrisey's lawsuit to take away health care from people with pre-existing conditions," Manchin continues. "He is just dead wrong, and that ain't gonna happen."

Bigger picture: Manchin has made preserving ObamaCare's pre-existing condition protections a key part of his campaign, as have other red state Democrats in tough races this year.

Michigan is asking the Trump administration to approve work requirements for thousands of low-income adults who gained health care under ObamaCare's Medicaid expansion.

Under the proposal, beneficiaries between the ages of 19 to 62 will have to work, volunteer or attend job training for at least 80 hours a month to keep their benefits.

There are 12 exemptions, including for those who are caretakers of family members younger than six and those who are pregnant.

Context: Medicaid work requirements are a huge priority for the Trump administration, and it has already approved four requests. (One was invalidated by a federal court and the other is being litigated.) Several other states have requests pending.

"While much of Judge Kavanaugh’s record remains a mystery, what we do know is extremely troubling and dangerously out of step with the American people, particularly on critical issues including executive power, abortion rights and pre-existing conditions," Shaheen said in a statement.

A federal appeals court on Monday ruled that the state of Missouri could enforce laws that abortion rights groups argue will curb access to the procedure.

The 8th U.S. Circuit Court of Appeals overturned a 2017 ruling that blocked enforcement of the laws, which require doctors who perform abortions to be affiliated with hospitals and abortion clinics to be licensed as ambulatory surgical centers.

Planned Parenthood initially sued the state over the laws in 2016.

They argue the requirements are burdensome and unnecessary, and will result in abortion clinics closing in Missouri.

"Look no farther than Missouri to see what kind of harm courts can inflict on women's rights and freedoms," said Dawn Laguens, executive vice president of Planned Parenthood Federation of America.

"Despite a Supreme Court ruling striking down virtually identical restrictions in Texas, judges in the Eighth Circuit continue to re-write the books on abortion access. Today's ruling threatens to eliminate abortion access at all but one health center in the state."